Individual
MR. ALAN CHARLES FEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
12417 CEDAR RD, CLEVELAND HEIGHTS, OH 44106-3157
(440) 646-8259
Mailing address
3268 EUCLID HEIGHTS BLVD, CLEVELAND HEIGHTS, OH 44118-1859
(216) 321-7010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S0013654
OH
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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